|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,209.28 |
$1,209.28 |
$1,209.28 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$121.20 |
$121.20 |
$121.20 |
$82.32
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$343.26 |
$343.26 |
$343.26 |
$210.40
|
|
Hepatitis c antibody
|
$195.60 |
$195.60 |
$195.60 |
$108.25
|
|
Hernia Repair (Inguinal)
|
$977.40 |
$977.40 |
$977.40 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$49.20 |
$49.20 |
$49.20 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$75.00 |
$75.00 |
$75.00 |
$87.36
|
|
Herpes simplex virus isolation
|
$120.00 |
$120.00 |
$120.00 |
$110.00
|
|
Heterophile antibodies screening
|
$36.60 |
$36.60 |
$36.60 |
$73.87
|
|
Heterophile antibodies titer
|
$33.00 |
$33.00 |
$33.00 |
$29.25
|
|
Hfo nontorsion jnts pre ots
|
$24.60 |
$24.60 |
$24.60 |
$199.53
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$295.20 |
$295.20 |
$295.20 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$304.80 |
$304.80 |
$304.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$264.60 |
$264.60 |
$264.60 |
$233.50
|
|
Hip X-ray
|
$309.60 |
$309.60 |
$309.60 |
$294.75
|
|
Histamine
|
$108.60 |
$108.60 |
$108.60 |
$115.00
|
|
HIV 2 pcr qual - sendout
|
$454.80 |
$454.80 |
$454.80 |
$55.20
|
|
HIV prep, inj, cabotegravir
|
$7,320.13 |
$7,320.13 |
$7,320.13 |
$7,320.13
|
|
Hla i low res one antigen equiv ea
|
$321.60 |
$321.60 |
$321.60 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$369.60 |
$369.60 |
$369.60 |
$304.20
|
|
Hla i typing low res one locus ea
|
$393.00 |
$393.00 |
$393.00 |
$340.00
|
|
Hocm 200-249mg/ml iodine,1ml
|
$495.88 |
$495.88 |
$495.88 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$56.73 |
$56.73 |
$56.73 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$153.04 |
$153.04 |
$153.04 |
$79.78
|
|
Home health re-certification physician g0179
|
$66.60 |
$66.60 |
$66.60 |
$88.80
|
|
Home/res vst est high mdm 60
|
$343.20 |
$343.20 |
$343.20 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$247.20 |
$247.20 |
$247.20 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$109.80 |
$109.80 |
$109.80 |
$93.24
|
|
Home/res vst new high mdm 75
|
$423.60 |
$423.60 |
$423.60 |
$398.40
|
|
Home/res vst new low mdm 30
|
$157.80 |
$157.80 |
$157.80 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$353.40 |
$353.40 |
$353.40 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$109.20 |
$109.20 |
$109.20 |
$98.40
|
|
Home visit est patient 99348
|
$164.40 |
$164.40 |
$164.40 |
$140.00
|
|
Home visit new patient
|
$258.60 |
$258.60 |
$258.60 |
$258.60
|
|
Homocysteine
|
$216.00 |
$216.00 |
$216.00 |
$125.40
|
|
Homogenization tissue
|
$43.80 |
$43.80 |
$43.80 |
$41.30
|
|
Homovanillic acid (hva)
|
$176.40 |
$176.40 |
$176.40 |
$59.95
|
|
Human epididymis protein 4 (he4)
|
$257.40 |
$257.40 |
$257.40 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$18.00 |
$18.00 |
$18.00 |
$5,568.57
|
|
Hyaluronidase 150 unit/ml injection solution
|
$171.83 |
$171.83 |
$171.83 |
$126.37
|
|
Hyaluronidase 200 units/ml inj
|
$124.75 |
$124.75 |
$124.75 |
$245.00
|
|
Hydralazine 20 mg/ml injection solution
|
$38.99 |
$38.99 |
$38.99 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$91.30 |
$91.30 |
$91.30 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$263.40 |
$263.40 |
$263.40 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$27.75 |
$27.75 |
$27.75 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$69.62 |
$69.62 |
$69.62 |
$72.65
|
|
Hymenotomy
|
$93.60 |
$93.60 |
$93.60 |
$4,358.89
|
|
Hymovis injection 1 mg
|
$1,282.37 |
$1,282.37 |
$1,282.37 |
$28.00
|
|
Hyoscyamine sulfate inj
|
$43.48 |
$43.48 |
$43.48 |
$123.83
|
|
Hyperbaric oxygen therapy
|
$1,267.80 |
$1,267.80 |
$1,267.80 |
$1,081.04
|
|
#hypersens-actinomyces ab
|
$29.40 |
$29.40 |
$29.40 |
$32.00
|
|
Hypnotherapy
|
$28.20 |
$28.20 |
$28.20 |
$244.80
|
|
Hyqvia 100mg immuneglobulin
|
$13,055.02 |
$13,055.02 |
$13,055.02 |
$13,494.15
|
|
Hysterectomy/revise vagina 58275
|
$1,918.20 |
$1,918.20 |
$1,918.20 |
$1,918.20
|
|
Hysterectomy/revise vagina 58280
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$2,053.20
|
|
Hysteroplasty 58540
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$1,770.60
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$460.20 |
$460.20 |
$460.20 |
$891.00
|
|
Hysterosalpingography s&i
|
$519.60 |
$519.60 |
$519.60 |
$669.12
|
|
Hysteroscopy ablation
|
$3,272.40 |
$3,272.40 |
$3,272.40 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$730.80 |
$730.80 |
$730.80 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$555.00 |
$555.00 |
$555.00 |
$3,997.50
|
|
Hysteroscopy lysis
|
$670.20 |
$670.20 |
$670.20 |
$5,766.75
|
|
Hysteroscopy remove fb
|
$760.80 |
$760.80 |
$760.80 |
$4,719.18
|
|
Hysteroscopy remove myoma
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$5,463.96
|
|
Hysteroscopy resect septum
|
$756.00 |
$756.00 |
$756.00 |
$5,766.75
|
|
Hysterotomy abdominal 59100
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$5,110.00
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$394.13 |
$394.13 |
$394.13 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$223.20 |
$223.20 |
$223.20 |
$147.46
|
|
I-131 iobenguane sulf diag mibg
|
$2,438.40 |
$2,438.40 |
$2,438.40 |
$3,638.48
|
|
I131 iodide cap, rx
|
$321.60 |
$321.60 |
$321.60 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$33.60 |
$33.60 |
$33.60 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$319.80 |
$319.80 |
$319.80 |
$109.80
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$790.26 |
$790.26 |
$790.26 |
$684.45
|
|
Ibuprofen injection
|
$63.55 |
$63.55 |
$63.55 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,575.00 |
$37,575.00 |
$37,575.00 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$42,525.00 |
$42,525.00 |
$42,525.00 |
$39,070.50
|
|
Icd crtp serena MRI
|
$15,727.80 |
$15,727.80 |
$15,727.80 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$9,922.80 |
$9,922.80 |
$9,922.80 |
$9,264.83
|
|
I&d abscess posterior spine l/s/ls-22015
|
$1,403.40 |
$1,403.40 |
$1,403.40 |
$2,286.40
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$894.60 |
$894.60 |
$894.60 |
$3,592.74
|
|
Idarubicin hcl injection
|
$713.88 |
$713.88 |
$713.88 |
$447.02
|
|
I&d/bursa/foot 28001
|
$521.40 |
$521.40 |
$521.40 |
$1,917.33
|
|
I&d frarm&/wrst deep absc/hematoma
|
$986.40 |
$986.40 |
$986.40 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$807.00 |
$807.00 |
$807.00 |
$3,245.23
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$667.20 |
$667.20 |
$667.20 |
$3,371.02
|
|
Idursulfase injection
|
$5,750.41 |
$5,750.41 |
$5,750.41 |
$5,646.08
|
|
I & d vag hematoma non-ob 57023
|
$605.40 |
$605.40 |
$605.40 |
$3,444.42
|
|
I&d vag hemtma obst/postpart
|
$327.00 |
$327.00 |
$327.00 |
$3,370.52
|
|
Ifosfamide 1 gram intravenous solution
|
$292.09 |
$292.09 |
$292.09 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$656.40 |
$656.40 |
$656.40 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$91.20 |
$91.20 |
$91.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$247.80 |
$247.80 |
$247.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$119.40 |
$119.40 |
$119.40 |
$277.90
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,976.40
|
|
Iliac revasc add-on 37222
|
$4,544.40 |
$4,544.40 |
$4,544.40 |
$6,082.65
|
|
Imatinib 100 mg tab
|
$207.25 |
$207.25 |
$207.25 |
$248.00
|
|
Imbrication/diaphragm/transthor/transabd 39545
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$2,181.60
|
|
Imetelstat 188 mg intravenous solution
|
$18,478.85 |
$18,478.85 |
$18,478.85 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$7.20 |
$7.20 |
$7.20 |
$175.60
|
